Clinical Governance The pursuit of excellence in clinical

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Clinical Governance The pursuit of excellence in clinical care 9/16/2020 www. petersims. co. uk

Clinical Governance The pursuit of excellence in clinical care 9/16/2020 www. petersims. co. uk 1

Making better sense of Clinical Medicine • Peter Sims • Professor of Public Health

Making better sense of Clinical Medicine • Peter Sims • Professor of Public Health Medicine • The School of Medicine • University of Papua New Guinea 9/16/2020 www. petersims. co. uk 2

Clinical Governance is Performance Management for Clinicians • The components are • Clinical Audit,

Clinical Governance is Performance Management for Clinicians • The components are • Clinical Audit, Risk Management, Quality, Continued Professional Development and Research and development • Clinical Governance requires that all these aspects are in place and practiced • They are quantified in terms of Input, Process and Outcome 9/16/2020 www. petersims. co. uk 3

Clinical Governance Part 1 • • Concepts and definitions Clinical Audit Risk Management Continued

Clinical Governance Part 1 • • Concepts and definitions Clinical Audit Risk Management Continued Professional Development (CPD) 9/16/2020 www. petersims. co. uk 4

Performance Management 9/16/2020 www. petersims. co. uk 5

Performance Management 9/16/2020 www. petersims. co. uk 5

Corporate and Clinical Governance 9/16/2020 www. petersims. co. uk 6

Corporate and Clinical Governance 9/16/2020 www. petersims. co. uk 6

RESEARCH& DEVELOPMENT RISK MANAGEMENT QUALITY AUDIT CONTINUED PROFESSIONAL DEVELOPMENT & INDEPENDENT PERFORMANCE REVIEW 9/16/2020

RESEARCH& DEVELOPMENT RISK MANAGEMENT QUALITY AUDIT CONTINUED PROFESSIONAL DEVELOPMENT & INDEPENDENT PERFORMANCE REVIEW 9/16/2020 www. petersims. co. uk 7

The Systematic and continuous review of clinical practice and process 9/16/2020 www. petersims. co.

The Systematic and continuous review of clinical practice and process 9/16/2020 www. petersims. co. uk 8

The Audit Cycle Set Standards Repeat Audit Conduct Audit Take action. Resources, Training 9/16/2020

The Audit Cycle Set Standards Repeat Audit Conduct Audit Take action. Resources, Training 9/16/2020 Identify Problems www. petersims. co. uk 9

The Audit Cycle-a helix 9/16/2020 www. petersims. co. uk 10

The Audit Cycle-a helix 9/16/2020 www. petersims. co. uk 10

Audit versus Research RESEARCH 1 -off, Research design, Type 1 & Type 2 errors,

Audit versus Research RESEARCH 1 -off, Research design, Type 1 & Type 2 errors, Sample size, Significance, Power, Controls, Publish Normal work (common AUDIT problems) Repeated several times, Action taken Not published but a tool 9/16/2020 www. petersims. co. uk 11

Risk Management 9/16/2020 www. petersims. co. uk 12

Risk Management 9/16/2020 www. petersims. co. uk 12

The Risk can be Quantifiedas the Consequence • It is the product of The

The Risk can be Quantifiedas the Consequence • It is the product of The seriousness of the HAZARD x • The PROBABILITY of Occurrence 9/16/2020 www. petersims. co. uk 13

Hospital Risk Management Factor Hazard Risk Fire ++++ Consequence 1 in 100, 000 Considerable

Hospital Risk Management Factor Hazard Risk Fire ++++ Consequence 1 in 100, 000 Considerable MRSA + 1 in 100 Fair Bed sores 1 in 10 Minor 9/16/2020 + www. petersims. co. uk 14

Teach, Learn, and Develop Staff • Performance review for Strengths, Weaknesses and an Agenda

Teach, Learn, and Develop Staff • Performance review for Strengths, Weaknesses and an Agenda for Action • Continued Professional Development or Education for Life 9/16/2020 www. petersims. co. uk 15

Continued professional development (CPD) • Maintaining existing skills • Developing new skills • Keeping

Continued professional development (CPD) • Maintaining existing skills • Developing new skills • Keeping “up to date” • Sustaining enthusiasm 9/16/2020 www. petersims. co. uk 16

Clinical Governance The pursuit of excellence in clinicalClinical Governance The pursuit of excellence in clinical
DEDICATION EXCELLENCE DEDICATION EXCELLENCE DEDICATION EXCELLENCE DEDICATION EXCELLENCEDEDICATION EXCELLENCE DEDICATION EXCELLENCE DEDICATION EXCELLENCE DEDICATION EXCELLENCE
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Pursuit of a Vision ST DAVIDS PURSUIT OrganizationalPursuit of a Vision ST DAVIDS PURSUIT Organizational
Projection Pursuit Projection Pursuit PP PCA and FDAProjection Pursuit Projection Pursuit PP PCA and FDA
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CLINICAL GOVERNANCE CONCEPT Pertemuan 9 CLINICAL GOVERNANCE PengertianCLINICAL GOVERNANCE CONCEPT Pertemuan 9 CLINICAL GOVERNANCE Pengertian
CLINICAL GOVERNANCE CONCEPT Pertemuan 9 CLINICAL GOVERNANCE PengertianCLINICAL GOVERNANCE CONCEPT Pertemuan 9 CLINICAL GOVERNANCE Pengertian
CORPORATE GOVERNANCE Corporate Governance Corporate governance is aboutCORPORATE GOVERNANCE Corporate Governance Corporate governance is about
Governance and REDD Governance failures An illness GovernanceGovernance and REDD Governance failures An illness Governance
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Good governance dan Accountability Good Governance Pengertian governanceGood governance dan Accountability Good Governance Pengertian governance